2020 Medicare Advantage Member Guidebook - Health First
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Providing you with the best health plan possible 2020 Medicare Advantage Member Guidebook Helpful contact information and online resources This guidebook contains valuable information about your health plan, and we hope you will use it as a resource through 2020. If you have any questions or need assistance, please contact Customer Service. By phone In person Contact Customer Service 321.408.5289 Walk-in service hours are Monday through Friday, (TDD/TTY relay: 1.800.955.8771) from 8 a.m. to 5 p.m., no appointment needed. Hours: Weekdays, 8 a.m. to 8 p.m., and Saturdays from 6450 U.S. Highway 1 8 a.m. to noon. From October 1 to March 31, we’re Rockledge, FL 32955 available seven days a week from 8 a.m. to 8 p.m. Online Visit our website at: myHFHP.org Please see instruction inside on how to access our secure online member portal.
At a Glance
Thank you for choosing Health First Health Plans. To help provide you with the
best health plan possible, this packet includes:
How to request an ID card, pay your premiums,
Plan Information
check claim statuses and more
Fitness benefit information and how to earn a $50 gift card
Wellness
for completing a Comprehensive Health Assessment (CHA)
Information about telehealth, virtual clinic and urgent
Access to Care
care centers
A map of hospital locations, as well as our urgent care
Your Network
and emergency facilities
A list of affordable and effective medications, to give you
Pharmacy Benefits
the best drug plan possible
You will receive information about additional services throughout the year,
which will be color coded to match the categories above. Please keep this
booklet, add new pieces to it as you go and contact Customer Service if you
need any support. All contact information is listed on the inside front
pocket of this guidebook.
Plan Information
Quick Tips Guide
How to Begin Enjoying Your Health Benefits
Please follow these four easy steps to get the most out of your new benefits.
Step 1: Register at Step 3: Review the Drug List
myHFHP.org/login where you are able to (Formulary) to be sure your current
print your ID card, see plan benefit details medications are covered.
and more.
Step 4: Schedule your annual
Step 2: View the Provider $
50
gift card Comprehensive Health Assessment (CHA)
Directory to select a primary care physician by calling 321.615.9427 to discuss all your
(PCP) and schedule an annual wellness visit. health concerns, medications and recent
treatments — and earn a $50 gift card.
If you have any questions, please call Customer Service at 321.408.5289 (TTY/TDD relay:
1.800.955.8771) weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon.
From October 1 to March 31, we’re available seven days a week from 8 a.m. to 8 p.m.
Plan Information
Online Member Self-Service Portal
The online portal provides easy access to your plan information, go to myHFHP.org, select “Log In” near the
top of the page, then click “Member.” Once you are logged in, click the tabs across the top of the screen to
navigate through the various options:
■ Find a participating doctor or facility
■ Check your plan benefits: copayments,
coinsurance, deductibles and out-of-pocket
maximum
■ Find your drug costs
■ Request an ID card
■ Print a temporary ID card
■ Pay your premium
■ Check the status of a medical or
pharmacy claim
■ Request reimbursement
■ Access Healthy Living resources and
our approach for improving the quality
of our health plan
■ View your Member Rights and Responsibilities, Limitations, Exclusions and Notice of Privacy Practices*
*Members can request a mailed copy by calling Customer Service
at 321.408.5289 (TTY/TDD relay: 1.800.955.8771).
Wellness
Coming Soon
Health First Health Plans is launching CaféWell®, a personalized
health and wellness program that rewards you for completing
healthy actions. Enjoy free, unlimited access to CaféWell®
starting in 2020.
How will CaféWell® work?
■ Log in to the Health First Health Plans secure member portal.
■ Complete healthy programs to earn points.
■ Redeem points for gift cards in the Marketplace.
CaféWell® information coming soon!
Access to Care
When You Need Care, We Have Options
Primary Care Walk-in Virtual Urgent Emergency
Nurse 24™ Physician (PCP) Clinic Clinic Care* Room
No cost to you No cost to you $ $$ $$ $$$$
Speak with a Prevent illnesses, Same-day care Convenient care Same-day care for Same-day care
registered nurse determine the likely with a Primary for urgent but conditions that are for serious or life-
for care advice and source of a problem Care Physician simple medical not life-threatening, threatening illnesses
questions about and coordinate care issues for those but require prompt and injuries
medications and with specialists out of the area or treatment
non-emergency unable to visit an Call 911 for critical
symptoms urgent care situations
■ Ailments and ■ Annual wellness ■ Cold and flu ■ Allergies ■ Sprains and ■ Chest pains, heart
conditions visit symptoms ■ Cold and flu strains attack
■ Treatment ■ Persistent ■ Rashes ■ Ear infection ■ Severe sunburn ■ Difficulty breathing
options symptoms ■ Allergies ■ Insect bites ■ Flu and cold ■ Broken bones
■ Prescription drugs ■ Chronic conditions ■ Upper ■ Rashes symptoms ■ Heavy bleeding
■ Medication respiratory ■ Allergy and sinus ■ Severe cuts or burns
management infections infections ■ Stroke
■ Allergies ■ Urinary tract ■ Lacerations ■ Confusion, fainting or
■ Mild cold infections ■ Severe vomiting blacking out
■ Ear pain ■ Ear pain or diarrhea ■ Severe abdominal pain
■ Insect bites or ■ Vomiting or ■ Urinary tract ■ Coughing or vomiting
rashes diarrhea $0 Primary Care infection (UTI) blood
Nurse24™ will ■ Immunizations ■ Minor cuts, ■ Changes in vision,
not prescribe Urgent Care and abscesses and difficulty speaking
treatment or Cost share Specialist wound care ■ Complications related
medications. applies copays apply to pregnancy
No Appointment Appointment No Appointment Appointment No Appointment No Appointment
Needed Needed Needed Needed Needed Needed
Call Visit myHFHP.org/ Visit Visit To reduce your Go to the nearest
1.800.308.5848 directory or call myHFHP.org/ myHFHP.org/ wait time, schedule emergency facility,
24 hours a day, Customer Service to directory or call virtualclinic an appointment regardless of network
seven days a week. find a PCP near you. Customer Service to schedule an at myHFHP.org/ participation.
to find a walk-in appointment. schedule or call
clinic near you. Customer Service
to find the nearest
urgent care.
NEW BENEFIT! Transportation Now Covered
Health First Health Plans is now offering 20 one-way trips of ground transportation per year,
to or from a health-related location at no cost to you. These services are covered in Brevard
and Indian River counties through the national curb-to-curb service, Lyft. To schedule a Lyft
ride, simply call Customer Service 24 hours in advance of your appointment at 321.408.5289.
Review your schedule of benefits for cost share
*To avoid coverage challenges, please ensure the facility bills the insurance company as an Urgent Care location.
Your Network
Network Map
Health First Health Plans gives you access to more than 4,000 providers and 23 hospitals in nine counties
across Central Florida. A list of providers, their locations and contact information can be found in your provider
directory at myHFHP.org/directory.
ILCHRIST
95
FLAGLER 9
1
Atlantic Ocean
LEVY
Health First Hospitals 5
1 Cape Canaveral Hospital
OCALA
2 Holmes Regional Medical Center
MARION
3 Palm Bay Hospital
4 Viera Hospital 6
8
LAKE VOLUSIA
AdventHealth Hospitals
7 95
Volusia and Flagler
5 AdventHealth Daytona Beach
CITRUS
6 AdventHealth DeLand
7 AdventHealth Fish Memorial SEMINOLE
SUMTER
8 AdventHealth New Smyrna Beach 11 10
BREVARD
9 AdventHealth Palm Coast 18
HERNANDO
Orange, Osceola and Seminole 14 17 13
15
10 AdventHealth Altamonte Springs
ORLANDO
11 AdventHealth Apopka 27
ORANGE
75
12 AdventHealth Celebration 301 1
13 AdventHealth
PASCO East Orlando 16
12
14 AdventHealth for Children 4
15 AdventHealth for Women 192
16 AdventHealth Kissimmee 2
17 AdventHealth Orlando OSCEOLA
18 AdventHealth Winter Park
19
Hardee and Highland POLK 3
275
19 AdventHealth Lake Placid
PINELLAS
20 AdventHealth Sebring
HILLSBOROUGH 23
21 AdventHealth Wauchula
INDIAN RIVER
Other Network Hospitals 22
22 Cleveland Clinic Indian River 21
Hospital MANATEE 20
23 Sebastian River Medical Center OKEECHOBEE
HARDEE
Gulf of HIGHLANDS ST. LUCIE
Mexico 27
19
75
SARASOTA DE SOTO
Your Network
As of November 2019, Health First Health Plans members have
access to services in:
9 Counties Across Central Florida
1,136 2,695 712
Primary Care Specialists Outpatient Mental
Physicians Health Providers
23
Hospitals
42
Skilled Nursing
50
Urgent Care
268
Pharmacies
Facilities Centers
Health First Health Plans customers have access to urgent care and
emergency facilities when traveling outside of the Health First
Health Plans Network Service Area:
Guidelines to know:
■ For non-emergencies, seek care through our Virtual Clinic at myHFHP.org/schedule or at the most
convenient urgent care facility, and confirm with the facility that they will bill as an urgent care.
■ In an emergency or when an urgent care facility is not available, seek care at the closest emergency medical
facility available.
■ Your normal copay applies.
■ If admitted during the visit, the emergency copay will be waived.
■ When traveling abroad, customers must request reimbursement for covered out-of-pocket medical expenses
(up to the allowed amount, minus the standard copay).
To verify benefits, and see if your plan has out-of-network benefits, please
visit us at myHFHP.org or contact Customer Service at 321.408.5289.
Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal.
Y0089_MPINFO8147_C(01/20 ) | 2020 HFHP Medicare Member Benefit Book
Pharmacy Benefits
Pharmacy Benefits
As a member of Health First Health Plans, you have access to broad prescription drug coverage and specialty
pharmacy benefits. Read about them here and let us help you make the most of your benefits. For more
details about your prescription drug plan, including copayments, drug plan limitations and exceptions, visit
myHFHP.org and select “Pharmacy.”
Pharmacy Network
Our network of 268 pharmacies spans nine counties in Central Florida. For the most current list of network
pharmacies, please see our Provider Directory at myHFHP.org/directory.
Free Mail-Order Delivery
To save you money and time, you can choose to have a 90-day supply of your medications delivered directly to
your home. There are two options to fill your prescriptions through the mail:
1) Health First Family Pharmacy at 321.434.7355 and select option 1 or visit HF.org/familypharmacy, or
2) MedVantx at 866.744.0621 or visit medvantxrx.com.
Save Money with 90-Day Prescriptions
As a Health First member, you have options to save money on your prescription drugs. Depending on your plan
and drug tier, you could save up to 33% of the cost when you fill a 90-day prescription. For questions, call our
Customer Service at 321.408.5289 (TTY/TDD relay: 1.800.955.8771).
TIP: Before going to the pharmacy to have your prescription filled, discuss generics
and more affordable alternatives to your current medications with your physician.
Save Money — Use Generic
Some facts about generic medications:
■ They typically cost 80 to 85% less than their brand-name equivalents.
■ They always contain the same active ingredient and therapeutic effectiveness as their brand-name
equivalents.
■ The Food and Drug Administration (FDA) is responsible for ensuring each generic medication matches its
brand-name equivalent.
■ Approximately 50 percent of generic drugs are made by the same company that manufactures their brand-
name equivalent.
Generics and brands have the same… But may be different in…
Active Inactive
Safety Efficacy Quality Benefits Size Shape Color Cost
Ingredient Ingredient
Call our licensed pharmacists at 321.434.4396 to learn about the generic versions of your current medications.
Pharmacy Benefits
Pharmacist Recommendations
Medications to help maintain the health of your heart and kidneys, as well as those that control diabetes
and blood sugar levels, are extremely important to your wellness today and in the future. If you are currently
taking medications for one of those conditions, speak with your doctor or pharmacist to ensure you are on
the most effective and affordable option for you. The list below displays many of the most affordable and
effective options:
Blood Pressure Control Cholesterol Control and Diabetes and
and Kidney Protection Heart Health Blood Sugar Control
Copay* Copay* Copay*
Drug Name Retail Drug Name Retail Drug Name Retail
30 Days 30 Days 30 Days
Benazepril $0 Atorvastatin $0 Glimepiride $0
Enalapril $0 Pravastatin $0 Glipizide $0
Irbesartan $0 Simvastatin $0 Metformin $0
Lisinopril $0 Lovastatin $0 Glyburide $0
Losartan $0 Rosuvastatin $0 Pioglitazone $0
Valsartan $0 Ezetimibe $45 Nateglinide $0
Candesartan $0 Ezetimibe-Simvastatin $45
Olmesartan $0
Telmisartan $0
Quinapril $0
Ramipril $0 *Copay quoted prior to entering the Donut Hole (explained below)
What is the CMS Medicare Donut Hole?
The donut begins after you and the health plan have paid a combined amount of
$4,020. At this time your cost share will increase to 25% of all drugs, unless your
plan offers additional coverage during this period.
We want to be the best prescription drug plan possible —
that’s why we’ve got tips on reducing your drug costs
during the Donut Hole.
1. Call us at 321.615.9426* to find out: 2. Talk with your doctor to see if they can
■ If your Tier 2-4 medications qualify for a review generic or alternative options that might
lower tier cost be less expensive.
■ If you qualify for Low Income Subsidy (LIS) 3. Review your formulary at myHFHP.org to
■ If you can save on a 90-day mail-order supply see if any of your medications changed to Tier 6,
meaning NO COST to you.
*(TTY/TDD relay: 1.800.955.8771) weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon. From October 1 to March 31,
we’re available seven days a week from 8 a.m. to 8 p.m.Wellness
How to Read and Understand Your Personalized Health Report
Your Personalized Health Report will be delivered to you twice annually. By keeping track of your unique health
information, including a list of your needed healthcare screenings, you’ll be better prepared to discuss your current
health status with your provider. Together, you will be able to develop the best healthcare plan possible.
This section is removable. You can bring this card with Talk to your primary care provider (PCP) to see if
you to your office visits to keep your information current. you are up to date on all your preventive services.
Tear off this Preventive Service Record and keep it in your wallet to help track your last screenings and when they should be repeated.
Comprehensive Health Assessment (CHA)
Health Screening Schedule
Cervical cancer screening (pap test)
Use this convenient record to keep track of the dates
Because improving and maintaining your health is important, the schedule
We value you as a customer, and we want to
Preventive screening lab tests
below is a recommended timeline for routine health screenings. It does
Bone mineral density (DEXA)
Colorectal cancer screening
Preventive Service
Health Report Inside
not replace the care of your doctor or guarantee insurance coverage. Your
Use this section
Pneumonia vaccination
help you maintain your health.
physician may order other screening tests based on your unique risks.
Your Personalized
Tetanus vaccination
of your health screenings.
to keep track of
Flu vaccination
Preventive Service Age Frequency
Physical exam
Mammogram
Vision exam
Bone mineral density
Women 65-85 Every 2 years
completed services screening (DEXA scan)
Cervical cancer screening
21-65 Every 3 years*
and/or upcoming (Pap test)
Colonoscopy every 10 years,
appointments. Colorectal cancer screening 50-75
Sigmoidoscopy every 5 years,
Cologuard every 3 years or fecal
Date
immunochemical test (FIT) annually
Dental checkup All Twice a year
Depression screening 18+ Regularly if at risk
Flu vaccination 6 months+ Every year
Fold here first. Breast cancer screening 40-49 Doctor recommendation
(mammogram) 50+ Every 2 years
Allergies
Health problems
Primary doctor’s phone number
Primary doctor
City
Address
Name
Physical examination
prevention information.
Health and wellness or
Rockledge, FL 32955
6450 U.S. Highway 1
(weight, height, BMI, blood All Every year
pressure, etc.)
Pneumonia vaccination 65+ Doctor recommendation
State
Preventive screening labs
18+ Every year
(fasting glucose, cholesterol, etc.)
Shingles vaccination 50+ Once in lifetime
ZIP
Doctor
Skin cancer screening Doctor recommendation
recommendation
Fold here next.
Tetanus vaccination 18+ Every 10 years
20+ Every 1-2 years
Medical Information
Vision exam High risk of glaucoma Every year
Diabetic patients Every year
321.408.5275
myHFHP.org
Please consult your physician for medical guidance and contact your
health plan for information about benefits.
*Depending on HPV co-testing
Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in
Health First Health Plans depends on contract renewal.
Y0089_MPINFO7455_C(10/19)
An unchecked box
Health and Preventive Screenings Record
10302019
Tear off this Medications Record and keep it in your wallet to help track your medications,
indicates you are due to
update medication changes when they occur and share with your healthcare providers.
Status as of Status as of
complete the “Health
Special Instructions
Appointment Mark When Appointment Mark When
Health Action October 1, Health Action October 1,
Date and Time Completed Date and Time Completed
2019 2019
Action.” Contact your
Take with food.
Colorectal Cancer Screening Diabetic A1C Blood Test
PCP to coordinate. There are several different tests to screen
for colorectal cancer. Ask your healthcare ® ® ®
Talk with your provider about this blood
test. Controlling your blood sugar reduces
provider which test is best for you. your chances of damage to your heart,
Time(s)
eyes, kidneys and blood vessels.
of Day
7 pm
7 am
Breast Cancer Screening
You will see a checked (Mammogram)
A mammogram can detect breast cancer
Diabetic Urine Test
Talk with your provider about this urine
box, which shows that early and save lives. Schedule yours today. test. Detecting protein in the urine may
One tablet twice a day
If you reside in Brevard County: indicate kidney damage.
your “Health Action” Call Health First Centralized Scheduling
at 321.434.6100
˛ ˛ ˛ Annual Flu Vaccine
Remember, flu vaccines save lives. Your
has been completed. If you reside in Indian River County:
annual vaccine is available just before flu
Dose
Call Sebastian River Diagnostic Center at
772.589.5000 or Vero Radiology Services season at most retail pharmacies or at
at 772.562.0163 your physician’s office.
Bone Density Screening Comprehensive Health
(DEXA Scan) Assessment (CHA)
This quick and painless scan tells you and Receive a $50 gift card after completing
your provider about the health of your your annual CHA. Call 321.434.6712 to
High blood pressure
bones, which can help you prevent falls schedule your CHA.
Reason Taken
and preserve your independence
Purpose or
If you see “N/A” on If you reside in Brevard County:
Call Health First Centralized Scheduling
N/A N/A N/A ® – Incomplete ˛ – Complete N/A – Not Applicable
your health report, at 321.434.6100
If you reside in Indian River County:
this “Health Action” Call Sebastian River Diagnostic Center at
772.589.5000 or Vero Radiology Services
For more information and ways to schedule
these exams, please visit myHFHP.org/screenings.
may not apply to you. at 772.562.0163
Name of Medication
Example: Vasotec 5 mg
Diabetic Eye Exam
Contact your PCP with Diabetes can cause blindness. Call your If you have any questions, call Customer Service
Tear card off here.
ophthalmologist or optometrist for a at 321.408.5275*.
any questions. diabetic eye exam.
*Available weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon. From
October 1 to March 31, weekdays from 8 a.m. to 8 p.m. TTY/TDD relay 1.800.955.8771.
This section is removable. You can bring this card with you to your
office visits to keep your medication list current.Wellness
The Silver&Fit® Exercise and Healthy Aging Program:
Something for Everyone ™
Improving your physical health is important.
The Silver&Fit® Exercise and Healthy Aging Get Started
Program gives members: 1 Go to SilverandFit.com.
■ No-cost access to a fitness center or select YMCA
2 Register to use the website.
■ Group classes made for older adults, where offered
■ The option to work out at home using up to two home fitness 3 Choose a fitness center or YMCA, or
sign up for the Home Fitness program.
kits per year (34 to choose from)
■ Healthy Aging materials four times a year (online or by mail) 4 If you prefer, you can call toll-free
1.888.797.7806 (TTY/TDD 711) 8 a.m.
■ A newsletter four times a year (online, by email or by mail)
to 9 p.m. Eastern Time, Monday
■ The Silver&Fit Connected!™ program, a fun and easy way to through Friday, to find a fitness center
track exercise at a fitness center or through a wearable fitness or YMCA near you or to enroll in the
device or app Home Fitness program.
■ Other web tools like a fitness center search and online classes
Comprehensive Health Assessment
Complete your health assessment in 2020,
and you’ll earn a $50 gift card.*
Health First Health Plans has partnered with your physician to offer you a thorough physical
exam by a physician or nurse practitioner.
In Our Office or In Your Home
You can choose to have your exam at a physician’s office or in the comfort of your own home. It takes about
one hour, with plenty of time to discuss all your health concerns, medications and recent treatments. This exam
is completely voluntary and will not affect your healthcare coverage in any way.
The Comprehensive Health Assessment and any health screenings you receive during the visit are
provided at no additional cost to you.
Call 321.615.9427 to schedule your appointment, Monday through Friday, 8 a.m. to 6 p.m.
*Health First Health Plans will mail your gift card to you after a completed visit. Please allow six to eight weeks for delivery. Members are only
eligible for one (1) assessment and one (1) gift card per calendar year.Wellness
Your Behavioral Health Program
Provided by Health First Health Plans and
Magellan Healthcare Services
Health First Health Plans and Magellan Healthcare Services teamed
together to provide member-focused behavioral health benefits that Call 1.800.424.4347
focus on early intervention and prevention services to positively impact
(TDD/TTY: 1.800.424.1694)
overall well-being.
at any time,
Our program offers: day or night
■ Outpatient solutions
■ Welcome-home calls
■ Online tools and resources
■ Integrated medical and behavioral care
■ Ongoing support as needed
Online tools and resources
Members are given unique access to a member website where a variety
of tools and resources are available to help and assist members based on
their needs. With a number of different self-assessments, library articles,
resource guides and other information, members can learn about
different conditions and understand how to modify their daily living.
Visit MagellanAssist.com Health First is contracted with Magellan
to provide behavioral health management
services to our members.Plan Information
Financial Assistance Programs
Save as much as $144.60/per month or more on Part B Premiums in 2020.
As a valued member, we want to ensure you receive all the government and community benefits to which
you are entitled. We contract with My Advocate, a social service organization, to help our Medicare members
determine if they are eligible for various types of assistance and help them complete the proper applications:
■ Medicare Savings Programs — To help pay for Part B premiums, an average of $144.60 a month (or more
depending on Part B Premium) in 2020, which amounts to $1,735.20 annually
■ Low Income Subsidy — To help pay for Part D prescription drug premiums and copays
■ Community Programs — To assist with daily needs like meals, utilities, transportation and more
For more information, call My Advocate at 1.866.743.5282 (TTY: 1.855.368.9643)
Monday through Friday from 9 a.m. to 6 p.m. or visit Trust.MyAdvocateHelps.com.
Identity Protection Services
As a Medicare Advantage member of Health First Health Plans, you have access to Experian IdentityWorksSM
Identity Protection Services at no cost to you.
Experian IdentityWorks How Experian Identity Restoration Works
Experian IdentityWorks offers more protection and If you become a victim of identity theft, a dedicated
the option to enroll at any time — also at no cost to Identity Restoration Specialist from Experian will act
you. Once you enroll in IdentityWorks, you will have as your guide and advocate from start to finish by
access to: initiating the dispute process, and help ensure that
■ Experian credit report at signup* your identity returns to its pre-identity theft state***.
■ Credit monitoring
■ Internet surveillance If you have questions about protecting your identity
■ Identity restoration or if you suspect that your identity has been stolen:
■ Up to $1 million identity theft insurance** 1 Call the Experian customer support team at
■ Lost wallet protection 1.877.890.9332.
■ Child monitoring** 2 Provide engagement number DB14463.
■ Experian IdentityWorks ExtendCARE™
Enrollment is required.
1 Visit the Experian IdentityWorks website to enroll:
experianidworks.com/RR1Bplus
2 Click “Get Started” and enter code: HFID
3 Complete the enrollment process.
* Offline members will be eligible to call for additional reports quarterly after enrolling.
**The Identity Theft Insurance is underwritten and administered by American Bankers Insurance Company of Florida, an Assurant
company. Please refer to the actual policies for terms, conditions, and exclusions of coverage. Coverage may not be available in all
jurisdictions.
***You may be asked to provide a limited power of attorney to facilitate any identity restoration related work on your behalf.Nondiscrimination Notice
Health First Health Plans complies with applicable Federal civil rights laws and does
not discriminate on the basis of race, color, national origin, age, disability or sex.
Health First Health Plans does not exclude people or treat them differently because
of race, color, national origin, age, disability or sex.
Health First Health Plans: 6450 US Highway 1, Rockledge, FL 32955, 321-434
■ Provides free aids and services to people with disabilities 4521, 1-800-955-8771 (TTY), Fax: 321-434-4362,
to communicate effectively with us, such as: CivilRightsCoordinator@HF.org. You can file a grievance
■ Qualified sign language interpreters in person or by mail, fax or email. If you need help filing a
■ Written information in other formats (large print, grievance, our Civil Rights Coordinator is available to help
accessible electronic formats) you.
■ Provides free language services to people whose primary You can also file a civil rights complaint with the U.S.
language is not English, such as: Department of Health and Human Services, Office for Civil
■ Qualified interpreters Rights electronically through the Office for Civil Rights
■ Information written in other languages Complaint Portal, available at https://ocrportal.hhs.gov/ocr/
If you need these services, please contact our Civil Rights portal/lobby.jsf, or by mail or phone at: U.S. Department
Coordinator. of Health and Human Services, 200 Independence Avenue
If you believe that Health First Health Plans has failed to SW., Room 509F, HHH Building, Washington, DC 20201,
provide these services or discriminated in another way on 1-800-368-1019, 800-537-7697 (TDD).
the basis of race, color, national origin, age, disability or Complaint forms are available at http://www.hhs.gov/ocr/
sex, you can file a grievance with: Civil Rights Coordinator, office/file/index.html.
Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal.
Y0089_MPINFO7271_C (04/19)
English: ATTENTION: If you speak English, language Russian: ВНИМАНИЕ: Если вы говорите на русском языке,
assistance services, free of charge, are available to you. то вам доступны бесплатные услуги перевода. Звоните
Call 1-800-716-7737 (TTY: 1-800-955-8771). 1-800-716-7737 (телетайп: 1-800-955-8771).
Spanish: ATENCIÓN: si habla español, tiene a su disposición Arabic:
servicios gratuitos de asistencia lingüística. Llame al فإن خدمات املساعدة اللغوية تتوافر لك، إذا كنت تتحدث اذكر اللغة:ملحوظة
1-800-716-7737 (TTY: 1-800-955-8771). .(1-800-955-8771 : )رقم هاتف الصم والبكم1-800-716-7737 اتصل برقم.باملجان
French Creole: ATANSYON: Si w pale Kreyòl Ayisyen, Italian: ATTENZIONE: In caso la lingua parlata sia l’italiano,
gen sèvis èd pou lang ki disponib gratis pou ou. Rele sono disponibili servizi di assistenza linguistica gratuiti.
1-800-716-7737 (TTY: 1-800-955-8771). Chiamare il numero 1-800-716-7737 (TTY: 1-800-955-8771).
Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen
hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số Ihnen kostenlos sprachliche Hilfsdienstleistungen zur
1-800-716-7737 (TTY: 1-800-955-8771). Verfügung. Rufnummer: 1-800-716-7737
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援助服務。 請致電 1-800-716-7737 。
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French: ATTENTION : Si vous parlez français, des services bezpłatnej pomocy językowej. Zadzwoń pod numer
d’aide linguistique vous sont proposés gratuitement. 1-800-716-7737 (TTY: 1-800-955-8771).
Appelez le 1-800-716-7737 (ATS : 1-800-955-8771). Gujarati: સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલક
્ ભાષા
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